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Regionalization of General Surgery Within the Mayo Clinic Health …
WebRegionalization of surgery is an important component of surgical outcomes. This has been based on numerous studies validating the relationship of surgical volume to surgical outcomes. The Mayo Clinic is actively engaged in regionalization of surgery within its …
Actived: 4 days ago
URL: https://www.surgical.theclinics.com/article/S0039-6109(20)30078-5/fulltext
Overview of Wound Healing and Management
WebWound healing is a highly complex chain of events, and although it may never be possible to eliminate the risk of experiencing a wound, clinicians’ armamentarium continues to expand with methods to manage it. The phases of wound healing are the inflammatory phase, …
Trauma Demographics and Injury Prevention
WebThe burden of trauma care continues to rise, with 181,194,431 trauma admissions between 2006 and 2012. Increasing admissions has resulted in inpatient hospital costs doubling between 2001 and 2011. Estimates in the overall cost of injury …
Home Page: Surgical Clinics
WebSurgical Clinics of North America has kept surgeons informed on the latest techniques from leading surgical centers worldwide. Each bimonthly issue (February, April, June, August, October, and December) is devoted to a single topic relevant to the busy …
A Human Factors Approach to Surgical Patient Safety
WebIn a 2018 study, researchers applied the Human Factors Analysis and Classification System for Healthcare (HFACS-Healthcare) to surgical near-miss events reported via a hospital’s event reporting system over the course of 1 year. Within the 592 events analyzed, 726 …
Standardized Care Pathways as a Means to Improve Patient Safety
WebThe literature overwhelmingly supports standardized, evidence-based care to improve patient safety in the surgical setting, including checklists and enhanced recovery programs. Although local culture, patient complexity, and hospital setting can represent …
Clinical Informatics and the Electronic Medical Record
WebThe electronic medical record has fundamentally altered the way surgeons participate and practice medicine. There is now a wealth of data, once hidden behind paper records, that is, now available to surgeons to provide superior care to their patients. This article reviews …
What Makes Wounds Chronic
WebChronic wounds present a unique therapeutic challenge to heal. Chronic wounds are colonized with bacteria and the presence of a biofilm that further inhibits the normal wound healing processes, and are locked into a very damaging proinflammatory …
Processes to Create a Culture of Surgical Patient Safety
WebThis article discusses the processes, interventions, and methods by which health care systems can change the culture of their workplace to promote safety. The importance of this culture shift is discussed, as well as an organizational approach, highlighting the …
Clinical Informatics and the Electronic Medical Record
WebThe electronic medical record (EMR) is ubiquitous to clinical care across specialties, hospitals, and health care systems in the United States and increasingly globally. To-day’s surgeon relies on the EMR to access patient records, place orders, schedule op-erations, …
Abdominal Core Health
WebThe most basic definition of a hernia is a defect in the abdominal wall that allows content to go through it that should not. The historical perception of a hernia is one that fosters an inconsequential surgical problem that can often be overlooked and fall to …
Effective Implementation and Utilization of Checklists in Surgical
WebThe success of patient safety and quality improvement interventions depends, in part, on the effectiveness of implementation. Surgical safety checklists have been introduced into thousands of operating rooms across 6 continents since the debut of the …
Carotid artery stenting
Web•Transfemoral 6F introducer sheath; open carotid cannulation considered in presence of severe aortoiliac disease; preprocedural aspirin and Ticlid or Plavix.•0.035in. J-guidewire (Wholey) with moveable core to aortic arch; heparinization to ACT of 250–300.•NH-2 …
Carotid artery stenting
WebThe sample included asymptomatic patients (68%) with stenoses ≥80% and symptomatic patients (32%) with stenoses ≥50%. The randomized patients included a high-risk group with one or more of the following criteria: congestive heart failure with left ventricular ejection …
EPIDEMIOLOGIC, ECONOMIC, AND SOCIOLOGIC ASPECTS OF
WebAlthough the repair of abdominal wall hernias (epigastric, femoral, incisional, inguinal, spigelian, and umbilical) has long constituted the most common class of “major” operations performed by a general surgeon in the United States, little attention was …
The Value of Critical Care
WebThe primary focus of this review is on the cost-effectiveness of critical care. The rapid growth in health care expenditures has engendered careful scrutiny of the practice of medicine with regard not only to effectiveness but also to efficiency. This shift necessitates that …
Breast Cancer Screening Modalities, Recommendations, and Novel …
WebAmong women, breast cancer remains the second leading cause of cancer death in the United States. Mammography remains the only validated screening tool to reduce breast cancer mortality. The American Society of Breast Surgeons recommends that average …
Open Disclosure of Adverse Events: Transparency and Safety in …
WebMany patients suffering adverse events in health care turn to the legal system to learn what happened to them and to seek compensation. Health care providers have ethical, professional, and legal duties to disclose the harmful effects of care to the …
The Stressed Host Response to Infection: The Disruptive …
Webinterventions. These injuries incite autonomic nervous and neuroendocrine signals that induce limited SIRS criteria, such as leukocytosis10,11 and increased heart rate, but the simultaneous presence of three or more SIRS criteria is infrequent without
ROLE OF VIDEOSCOPIC-ASSISTED TECHNIQUES IN STAGING …
WebVideoscopic or minimally invasive technology has been applied to the diagnostic, staging, and treatment phases of the management of patients with cancer. Diagnostic videoscopy is used in the initial evaluation and diagnosis of malignancy, …
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